| Place of birth | Geelong Victoria |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mrs F R Jeffrey, Union Bank of Australia, 71 Cornhill, London, England |
| Enlistment date | 28 July 1916 |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Rank from Nominal Roll | Major |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
